FORREST CLINTON WYCKOFF Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005209

License Status

NOT RENEWED

Business

First Name

FORREST CLINTON

Last Name

WYCKOFF

Business Name

FORREST CLINTON WYCKOFF

Original Issue Date

01/05/1950

Expiration Date

01/01/1997

City

FORT GRATIOT

State

Zip

48059

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005